Senior Payer Relations Associate

Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.

Senior Payer Relations Associate

We are looking for a Senior Payer Relations Associate to join the EDI team within our Technology Enables Services department. athenaEDI is a certified EDI Clearinghouse supporting healthcare providers using the athena revenue cycle management systems with processing and integration of Electronic Data Interchange (EDI) transactions. In this role, the Senior Payer Relations Associate will be responsible for educating and supporting customers through the enrollment process, ensuring a smooth and efficient experience for timely processing of transactions. This individual will work to manage payer relationships, execute on mandates, provide training on payer/provider enrollment tools, and collaborate with various departments to optimize enrollment and payer support processes and enhance customer satisfaction.

Job Responsibilities

• Providing comprehensive training to customers on the effective use of enrollment tools and resources.

• Overseeing and managing payer mandates that may impact the revenue cycle, ensuring compliance and timely updates

• Assisting customers with the enrollment process, addressing inquiries and resolving issues as they arise

• Preparing and submitting applications to configure Electronic Data Interchange (EDI) claims and Electronic Remittance Advice (ERA) through clearinghouse and other payer portals

• Reviewing correspondence received from payers and creating action plans for resolution

• Initiating investigation with payers regarding provider enrollment denials and errors

• Working closely with internal teams to implement payer mandated changes, support projects impacting multiple high volume strategic customers, streamline processes and improve overall efficiency

• Resolving customer support cases, including setting expectations with the customer, providing timely progress updates, setting and meeting expectations for timelines and outcomes

• Developing and maintaining professional relationships with service teams at payer intermediaries, government agencies and insurance payers

• Performing in a customer support team environment

• Effectively manage a queue of multiple customer issues

• Staying updated on industry trends and best practices to enhance tools, processes and customer experience

Typical Qualifications

• Bachelor’s degree in a related field or equivalent experience

• Experience in healthcare, enrollment, customer service, or a related field

• Analytical thinking and systematic approach to issue troubleshooting

• Demonstrated ability to work independently and collaboratively with assigned teams

• Experience working directly with customers

• Ability to multi-task and balance competing priorities

• A strong desire to learn new skills and be flexible with job duties including being cross trained on various applications and duties.

• Strong verbal and written communication skills

• Highly detail-oriented and a strong work ethic

For candidates located in California, Colorado, Hawaii, Jersey City (NJ), New York City, Westchester County (NY), and Washington, please visit the following link for pay range information: 

California: https://www.athenahealth.com/salary-range/ca-nontech-sr-associate  

Colorado: https://www.athenahealth.com/salary-range/co-nontech-sr-associate  

Hawaii: https://www.athenahealth.com/salary-range/hi-nontech-sr-associate  

New Jersey: https://www.athenahealth.com/salary-range/nj-nontech-sr-associate 

New York: https:/